This form is a sample personal injury complaint alleging that orthodic shoe was not constructed according to plaintiff's prescription, thereby causing plaintiff' fall and resulting injuries.
Kansas Complaint regarding Defective Design of Orthopedic Shoe
State:
Multi-State
Control #:
US-PI-0294
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Complaint Regarding Defective Design Of Orthopedic Shoe?
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FAQ
What are orthopedic shoes? Footwear used to accommodate, control, or support the therapeutic needs of a foot deformity or abnormality in the leg, knee, or ankle. The footwear must be manufactured by recognized and reputable orthopedic footwear manufacturers and may be modified or adjusted to fit your feet.
Tips for writing a successful complaint letter Structure. ... Address the letter to a real person. ... Be honest and straightforward. ... Maintain a firm but respectful tone, and avoid aggressive, accusing language. ... Include your contact information. ... Tell them what you want. ... Do not threaten action. ... Keep copies and records.
Some extended health benefits cover "Orthotic" Footwear or "Modifications" like Birkenstock Orthotics provided by Dr. Michael Horowitz at Vancouver Orthotics. Patients are encouraged to determine sizing in advance by trying out Birkenstock Sandals at a retail outlet.
The format of a complaint letter follows the format of a formal letter. To write a complaint letter, you can start with the sender's address followed by the date, the receiver's address, the subject, salutation, body of the letter, complimentary closing, signature and name in block letters.
A complaint letter format will typically begin with the sender's details, followed by stating who it's addressed to, the date, and then the letter itself. The opening paragraph should state your reason for writing, and the meat of the text will go into detail about the matter.
I am writing to express my disappointment with the level of customer service I received from your store assistants, as well as the poor quality of a product I recently purchased from your store. On [date], I visited your store to purchase a pair of shoes, and unfortunately, the experience was not pleasant.
Dear [Contact Person]: This letter is to [notify you {or} follow up on our conversation of {date}] about a problem I am having with the [name of product or service performed] that I [bought, leased, rented or had repaired] at your [name of location] location on [date].
Orthotics and orthopaedic shoes are typically only eligible for coverage if they meet the following requirements. They must be custom-made from raw materials using a three-dimensional cast of your feet. They must be prescribed by an eligible health provider.